- 期刊
- OpenAccess
思覺失調症與酒癮共病患者之照護經驗
Nursing Care Experience of Alcohol Dependent Patient with Co-morbid of Schizophrenia
摘要
本報告運用Watson關懷理論，照護一位思覺失調症合併酒癮個案之經驗，個案長期受症狀干擾，缺乏疾病知識、因應能力不足，以酗酒麻醉自己，出現低自尊、情緒低落、自殺意念及自殘等問題。護理期間自2017年3月12日至2017年6月22日，以整體性功能評估收集資料，運用同理、傾聽、陪伴、接受、關懷等技巧，發現個案護理問題為：潛在危險性對自己的暴力行為、感覺知覺紊亂／聽幻覺、長期低自尊，故擬定照護計畫及運用Watson關懷理論設計個別化護理措施，個案在疾病認知、因應壓力的態度、健康行為、人際互動皆有正向效應，改善憂鬱情形及建立價值感。個案出院後可配合居家治療，能與症狀共處，生活適應良好，希望以此照護經驗提供護理同仁在照護此類個案之參考。
並列摘要
This article was used of Watson's caring theory, caring about the experience of a patient suffering from mental disorder with alcohol abuse. This case suffered from psychiatric symptoms for a long time and lack of knowledge of disease, lack of ability to handle life event, dependent on alcohol, living without life goals, low self-esteem, depressed mood, suicidal idea, self-mutilation and other issues. The data were collected from March 5, 2017 to June 22, 2017 during the period of nursing care. Application of the overall functional assessment method and some psychiatric care techniques such as empathy, listening, companionship, acceptance, and caring. Cases-related nursing problems were identified as: potential risk of violence against oneself, disturbances of sensory and perception, auditory hallucinations and long-term low self-esteem. Drawing up care plans and individualized nursing care designed application of Watson's caring theory found that this patient had positive effects on disease awareness, attitudes to stress, healthy behaviors, and interpersonal interactions, improving depression and establishing a sense of value. After this patient discharged from hospital, he was well-adjusted in tracking his life. He did not experience drinking behavior and was able to coexist with symptoms. Compared with the quality of life before admission, the case himself and his family were satisfied with the care. He hopes that this experience will be used to provide care colleagues in the future and take good care of such cases like him.
參考文獻
延伸閱讀
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